Individual provider Active NPI

Laken Dean Vargo, MS, LMHC

  • Mental Health Counselor
  • Silverdale, WA
National Provider Identifier
1043799554
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61025089 Issued in WA
Practice address
2819 NW Kitsap PL Ste 2B
Silverdale, WA 98383-7688
Phone
(360) 697-1141
NPI assigned
Aug 7, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61025089 WA Primary

Addresses

Primary practice location

2819 NW Kitsap PL Ste 2B
Silverdale, WA 98383-7688

Mailing address

PO Box 1611
Poulsbo, WA 98370-0197
Phone (360) 697-2395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240626004398 WA Practitioner - Mental Health Counselor 8820532260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Front Street Clinic IncGroup PAC ID 5193612935, 8 clinicians

Practice addresses (Care Compare)

20174 Front St NE
Poulsbo, WA 98370-7445
Phone (360) 697-1141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LH61025089WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Front Street Clinic Inc CurrentSince Apr 30, 2024 Accepting new patients
Wandee J. Pryor, Psy.D., LLC PastSince Jan 17, 2021 Accepting new patients

Locations

20174 Front St NE
Poulsbo, WA 98370
Phone (360) 626-9034

2819 NW Kitsap Pl
Ste 2B
Silverdale, WA 98383
Phone (360) 689-4964

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1043799554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1611",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983700197",
            "telephone_number": "360-697-2395",
            "fax_number": "360-697-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 NW KITSAP PL STE 2B",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837688",
            "telephone_number": "360-697-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGO",
        "first_name": "LAKEN",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61025089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.